Students from India

Submitting Insurance Claim Form

After you visit the doctor for an illness, accident or injury, it is likely that you will need to complete a claim form for your insurance company. The claim form is used to inform the insurance company of your recent medical visit. Based on your claim form and the medical bills provided, the insurance company will determine if you will be reimbursed for money spent or if your insurance company will cover some of the medical fees (if eligible) associated with your recent visit.

  • Keep all your receipts and documentation: Ask for a receipt every time you pay for a medical service. You will need to include these with your claim form.
  • Download an official claim form: Visit your insurance web page to assess your claim form.
    • International Medical Group: www.imglobal.com
    • Consolidated Health Plan: www.chpstudent.com
    • Make sure you include all the important information about your illness or injury. Try to include as much detail as possible.
    • Don’t skip any questions. The insurance company will not process a claim that is incomplete. If you are unsure about how to answer a question, contact your insurance provider.
    • Sign the form. A claim form without a signature will not be processed.
  • Attach all invoices and receipts to the claim form: Include the original invoices, bills, and receipts with your claim form.
  • Keep a copy for your records: Make a photocopy of the completed claim form and all bills, invoices, and receipts. Keep them together in a folder or envelope, so you know exactly what you sent.
  • Mail, fax, or email everything to the correct address: Your insurance company should include information on how claims are submitted, including a mailing address, fax number, or email. If you can submit your claim by fax or email, we recommend taking advantage of this so that your claim form will be processed quicker and you can keep the original documentation.
  • Wait: Now that you have submitted your claim, there is nothing to do but wait. Keep an eye on your calendar, remembering the date you sent your claim form and documentation. Most claims are normally processed within 30 business days.
    • Once your claim is processed and reviewed. You will receive an Explanation of Benefits (in the mail) that explains what the insurance company will or will not pay for.
      *Any remaining balance will be your responsibility to pay for. The Doctor office or clinic will send you a separate bill.
    • If you don’t receive payment or an update for your claim within the time frame that was given to you:
      • Contact your insurance company and let them know.
      • When you speak to someone, inform them of your name, have your insurance card with you and the date of when you submitted your claim. Also, let them know if you mailed, faxed, or emailed your claim form. This information will allow the insurance company to search for and give you an update on your claim.